Requirements for a Student Placement with Spectra - Student Placement Application Form

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Student Placement Application Form

This form cannot be saved, you will need approximately 30 minutes to complete it. Before you start – you will need the name & contact information of 2 references (last page of this form will show what information is required).
IDENTIFICATION - * Indicates mandatory field.
Please let us know your last name.
Please let us know your first name.
CONTACT INFORMATION - * Indicates mandatory field.
Please let us know your home phone number.
Please let us know your email address.
Please let us know your email address.
Please let us know your email address.
HOME ADDRESS - * Indicates mandatory field.
Please let us know your home address.
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Please let us know your City or Town.
Please let us know your postal code.
Please choose one
Please choose one
Please choose one
What Languages do you speak?*
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REFERENCES

By providing the below reference information, you authorize Spectra Helpline to contact the people named below for the purpose of providing Spectra with a reference about you, and to have them complete a Reference Questionnaire. You also confirm that the names given as a Reference have known you for at least 1 year, and are not a relative or family member. Note: If you are not able to provide a professional reference, please explain:
Professional Reference 1 (current or past supervisor, teacher, professor, volunteer supervisor, or co-worker)
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Professional Reference 2 (current or past supervisor, teacher, professor, volunteer supervisor, or co-worker)
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.
Please let us know your last name.

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